Multi-Systemic Therapy Fee Schedule for Dates of Service January ...

LAM5M127 LOUISIANA MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: RF-0-76MSTRUN: 01/21/10 08:24:20 DEPARTMENT OF HEALTH AND HOSPITALS - BUREAU OF HEALTH SERVICES - FINANCING PAGE: 1MULTI-SYSTEMIC THERAPY FEE SCHEDULEFEES EFFECTIVE FOR DOS ON AND AFTER JANUARY 22, 2010COLUMN:1 2 3 4CODE MODIFIER DESCRIPTION FEEH2033 MULTI-SYSTEMIC THERAPY 34.76H2033 HN MULTI-SYSTEMIC THERAPY 27.81NOTE: ALL CPT CODES AND DESCRIPTIONS ARE COPYRIGHTED BY THE AMERICAN MEDICAL ASSOCIATION.

LAM5M127 LOUISIANA MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: RF-0-76MSTRUN: 01/21/10 08:24:20 DEPARTMENT OF HEALTH AND HOSPITALS - BUREAU OF HEALTH SERVICES - FINANCING PAGE: 2MULTI-SYSTEMIC THERAPY FEE SCHEDULELEGEND------------------------------------------------------------------------------------------------------------------------------------Listed below are some aids we hope will help you understand this fee schedule. If, after reading the information below, youneed further clarification of an item, please call Unisys Provider Relations at 1-800-473-2783.------------------------------------------------------------------------------------------------------------------------------------COLUMN 1. CODE: The medical billing procedure code.COLUMN 2. MODIFIER: The modifier used with the procedure code, where applicable.HN BACHELORS DEGREE LEVELCOLUMN 3. DESCRIPTION: A short description of the medical billing procedure code.COLUMN 4. FEE: The listed fee refers to the maximum allowable payment for one unit of service.